1999-776 •
Certificate of Occupancy
• Town of Queensbury
Warren.County, New York
•
• Date May 25, 2000
. ,
99776
This is to certify that work requested to be done as shown by Permit No.
has been completed.
,• This structure may be occupied as a SINGLE FAMILY DWELLING
Location LOT 96 il:48 SARA-JEN DR.
Owner T MAri! S 1';',P.our)
TAX MAP NO. 74 . -2-96 By Order Town Board •
upE
Director of Building& Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 178000 Building Permit No. 99776
TAX MAP NO. 74 . -2-96
Permission is hereby granted to MICHAELS GROUP
Owner of property located at LOT 96 #4 8 SARA-JEN DR.
in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
10 BLACK SMITH DR
MALTA, NY 12020
Contractor or Builder's Name:
MICHAELS GROUP, INC.
Contractor or Builder's Address:
JIM CHANDLER, PROJECT MGR 10 BALCKSMITH DR
MALTA, NY 12020
Electrical Inspection Agency:
NEW YORK BOARD
NEW YORK BOARD OF FIRE UNDERWRITERS
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
2513 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
323 S . . December 3.0 2.001 . . -
$ PERMIT FEE PAID-THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
30 December 1999
Dated at the o eensbury this, Day of
SIGNED BY 1,. f11
J or the-Town.of Queensbury
• Code orcemei t • c-
•
Building Permit Application
Town of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance r
of this permit: PERMIT FILE NO. (2)—
A permit must be obtained before
beginning construction. No inspections ,,,,ii .j
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ 3 `f-
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID
,,,X_______ _
MUST be completed and.the signature 4) �j
❑ Planning Board Action REVIEWED BY. y` #,
of the applicant•must appear on the
SPR / Subdivision /Other I
pplication form. 77tamk you. J Recreation Fee Payment Building Inspector
Applicant: TiE4E 1'41C 1c'ietS Cote.OtT Owner: 'DrINc.
' Address:b U1C4 _ XT\t4nl. 1\4\k? � ?6 Address:
Phone # ( 1B ) gaol _( \,l Phone # ( ) -
Property Location: �'q(o- Y� 4 v�� J�
' l LIPS �uas Tax Map Number / / / /0
—Subdivision Name: ,
Y 1 Section Block T nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Building: CONSTRUCTION: $ 1-lgcx: 0
residence / commercial ‘
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwellingg-,9�t ,,,,,,r
�lin
Residence / Commercial Two Family Dwel -g .rd:,L F r;`, �
no change to exterior size . Family Dweli5Lrg
Office 2 f 1999
Other Work (describe below) Mercantile
Manufacturing ; t' C,' -"„
/�� ;i
Other 1y' ' ,-. -"-
GROSS AREA OF PROPOSED STRUCTURE: j `R --
1st Floor gG If ADDITION, what will use
13� sq' • S of new addition be? :
2nd .Floor Mc:a sq. ft.
Other Floors sq. ft. `3�5' '
(not unfinished cellar or base t-s ACCESSORY BUILDINGS:
. lee Detached Garage 1, 2 car
TOTAL FLOOR AREA: AFjl'.3 SQ. FT. )C Attached Garage 1, 40114
Private Storage Bui
SIZE OF NEW STRUCTURE:�� Commercial Storage Building
FEET X "`�3 FEET Other{{
Foundation Type: 1U9t1RE'CJ Will any second-hand or ungraded
' Number of Stories : Z. lumber be used? If so, for what?
(habitable space only) .11.e.
Height (grade to ridge) : -34C:::. feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which a.plies)
to be installed: l Electric / Oil / MTh / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes i s : 9LNk Lrn rrk Qa. 'a�NNK ..'af 1 OVE
Na7 e A•dre s Phone •
Builder: [,. A.. . ..: - - O t .,_� v trA It A lY 41 .. 140:.— 1k
Plumber: _ 1 „ ._r 1s•:_'..-t ` !1.. . 220 — '1L.t.i. -2
actyk
Mason: • , .M .Iv- 3.__. 1P.�. ' c - 1 I:b - - .-_-
Electrician: r.^IMI _ ^��ulip . _ O.6 l 22..
DECLARATION• Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy.or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, sho ing act 1 location of project on premises.
2, _d
- Signature:
(ow er, owner s agent, archit ct, contractor)
.- PERMIT� � �_ • _.: •-- ::�K..- _ - • .
Application for 'SEPTIC:DISPOSA.L�`
Town of Queensbury Permit No. C . 77(
Dept_ of Community Development •
Building &Codes Office •
742 Bay Road Fee Paid -$
Qntnsbury, NY 12804
Location of property for installation: IQ* gtp— �- szra
Property Owner's Name: 'f r it ts- f ot4
Property Owner's Mailing Address: 10 BlackSmak1DRIvE. Mal .14 19,o9.o
Installer's Name: (,,(.L�1 L aD• rij Phone # log
Number of bedrooms (if residential): Total daily flow: (Q(x
)
(residential -compute @ 150 gal./bdrm.)
Topography: ✓ flat, rolling, steep slope % of slope
•
- Soil Nature: / sand, loam, clay, other /depth:
•
Ground water: at what depth? :) feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not required, ' required [rate I min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet. •
PROPOSED SYS 1"hM
Septic tank- P gallon (minimum size: 1,000 Qal.)
Tile field: each trench 94 feet / Total system length: 2-1(D . feet
Seepage pit(s): number of / size each: - ft. by ft.
Size of stone to be used: #2'' / depth or thickness feet •
HOLDING TANK SYSTEM: (if required)
Number of tanks: 1 I A-- - Size of each: gallons
�Alaim system and associated electrical wos3 to'be inspected by a certified agency. •` - • :� `.
•
: For your protection, please iiote that t:to;Sectiion-s136-29-ofthe Cade.o€.the1ovi+n:of.Qaee+aab t9ii*nylP 4= ''
.ariproval granted whialt::is baaed �a>relian�ee�:sngs�sI�isrsp�senfsdon.or-fedora-tomal�a ��"'
-ui?�:oriid:granbod. .:: :. .. . . . . ..:..,. ...;
material fact or circumstance.kmwn by or on belvilf of an;applicarit,-<•ehaIl
I have read the regulations with respect to this application and agree to abide by theca and all requirements of the Town of ...
Queeasbury Sanitary Sewage Disposal Ordinance.
1f
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ILL `g ,19 C3c Permit No. 1- /
?I7
APPLICATION IS HEREBY MADE to the Building.Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant ‘;( , Como APPLIANCE (check appropriate boxes)
Address ‘,® � Clr= , ,,.3„. In STOVE: ❑Wood o Coal o Pellet o Gas
0 FIREPLACE INSERT
Zip \2„,.( ° ` FIREPLACE, FACTORY-BUILT:
� �� ❑ Wood 'pp a Gas
Phone 0 FIREPLACE, MASONRY:
o Wood ❑ Gas
Owner 0 FURNACE: p Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip. Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
�g ❑ MASONRY: 0 Block 0 Brick 0 Stone
tO (,4 �`4` ""►cc6 FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 'FACTORY-BUI LT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE ' Listed .By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner'
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected . Amount Refunded
Code Number Title 01,.
A 173 3389 (190) Public Safety ,
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: \ 1 ('` } (' 112,7)
Address:
Dated: - ) c 1.E t .Town Clerk or Deputy: - '
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE- FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.k DATE 1 --'.`^ A 1Jr
CITY OR VILLAGE ZIP CODE TOWNSHIP i COUNTY
STREET AND NO.OR R A°� _ POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
JCS,
OCCUPANTS NAME \ ` ` t BUILDING OCCUPANCY
�-L`. lC A.C. ( C)\:-.10..'.e.
OWNER'S NAME AND ADDRESS p\X__'\c��-- \ . HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY • `�. FROM THEIR l�J\'^ � OFFICE WORK TELEPHONE NUMBER
NkW\0
BUILDING IS
NEW OLD ❑ WORK IS NEV .- ADDITIONAL❑ DEFECTS REMOVED I:LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No' Gauge INSPECTION
OUT-
SIDE
SUB-
BASE •
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS • FEEDERS
SC) '+v'. -2 Applicant affirms that there is not an application for electrical
CHARACTER OF WORK i ❑EXPOSED inspection pendingwith aqualified electrical inspection
❑CONCEALED P P
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. /
This application is valid for a period not exceeding one year 1
SERVICE ENTERS BUILDING from the date received by the Board.
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S I I I I f I c�
IDENTIFICATION NUMBER> V^ I I �]
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION ,,SIGNATURE OF 4PPL tt.1,I-
•lC � � A\--�--.. A -,.I. F ,,. ;!'4i•:..;
STREET ADDRESS ,{ �f ` •TELEPHONE NO. •
CITY OR POST OFFICE ,...1 ,
JC —A'L4,( n.() LZ-2)Oc\ 7 U�
❑\ 85 John Street 111 Washington Ave. ❑ 3291 Lake Shore Road El 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK, NY 10038 SUITE
704
NY 12210 BUFFALO, NY 14219 ROCHESTER, NY 14608 SYRACUSE, NY 13206
(212) 227-3700 (518)463-2122 (716)827-1155 (716)254-0141 (315) 463-8552 ,
Mai THE NEW YORK BOARD OF FIRE UNDERWRITERS
• •.lJ•,l'AM45_0". l•,l'J_,_l'A: _l''$ .."; • _l J_41_l J_•_Vd l' !W.";') l'J_•l • •_l J__l'J_•l' •l'J_0 J8):AQ":"TA•_l'J_•l'J_AVAII_l'J_•M0_l'"TAN •A'J_•MI,AVA•A:'/,
1i IY
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ,y
!ci BUREAU OF ELECTRICITY r)!
it 1---° 111 WASHINGTON AVE., SUITE 704,ALBANY, NY 1.2210 b¢
:4 At-R7.L 1'7,,,�t�Ik0 4644....7Q,v,0(i A .1 0214 rr
1cI Date Application No. on file I>,
i THIS CERTIFIES THAT T — 7 I
i only the electrical equipment as described below and introduced by the applicant named on t'e above affffppli Lion number is in the premises of q}•__
i' IY
r THE IviIC11l-aALS GROUP"ci , 48 SARA JEAN DRIVE LOT 96, c)O I� �iSHtlRY, W l¢
ji in the following location; 14GAR fit
• ❑ Basement ❑ 1st Fl. ❑ 2nd FZ. Section Block Lot r•
- was examined on ' and found to be in compliance with the National Electrical Code. I
=4 IV,
I,.
6_41 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS Pi
- OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. IY.
j' 1 --■ ■■■.■. A I 4
4=1 60 4 ) r, r
=.(i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS '
1 rY
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. cm:41 H.P. NO.OF FEET AMT. WATTS Y
•
.-0 I i' ",), ..). .14 , - d . PY,
r
�I SERVICE DISCONNECT No.-oF -- � - -- - S - E --_ R - -V - I - - C - E' ,r
ICI METER NO.OF C COND. A.W.G. A.W.G. A.W.G. I4
=h AMT. AMP. TYPE EQUIP. 1 0 2WMEI 3 0 3W 3 0 4W pC 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL r
ii 1 ,`00 CH 1. A I. 4/0 1 2/0 It
" OTHER APPARATUS: ,
W POST LIGHT-1
1 GFF.Fr .C.f: --4 7 1, � V,
WI .*'JOKE DETEC�1'OR r�-�/ IY
Ij.
i
-G • IY
It r
-G • IY
Wi — -. v�+b Y,.., I i
ci
�(1 FOREVER
y^� 1 tt;; `;pp ELECT. � 1: 4P .�� �. b � Ir
-(I FOR!'lVER �1L.IF.iC/BOl L v' 't'''.R'• "Y' ,,yy
&.I7ZIL,IAit D. I Cl' 1tt.'1'I_r 7il �°+1a[r7v:/`tY`' �� r
..(i 2446 JAFFREY l�A F •,A[� =1`$�` 1.R• r
;. .I• GENERAL MANAGER
r - r
;;I 111,a,HEC.TA.T)`', ICY, J. 309 .?.r ,.Zt -,a`=:-i•.-a:. 2 39
I -ham-- - Per I
�i rr
it This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
'/,Y�Y4YY-YYiYY�YY•YYiYY•YY YY�YY�YY•Y4YYe.Y•YYiYY•YVr.Y•YYiYYeYYiYYiYY�Y.-WIY4•Y4•71,%-WeY•YY.Y4Yff4eY•YYiY4YYiYY�,SiiWiYY�YY-eYffii-rir*YYe.YiYY�Y
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FIRE MARSHAL
• TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME 1 1 .
LOCATIONS-CU rti PERMIT# � T
SCHEDULE INSPECTION ON c-6)-5
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYS E
FIRE SPRINKLERS TEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIN LERS
CLEARANCE TO HEATI UNITS
REQUIRED SIGNAGE
CHIMNEY
!OD STOVE
FIREPLACE ❑MASONRY ACTORY BLT.
EZAGL UH-IN
l
REMARKS: R oK TO THIS DATE
INSPSLIP.PUB INSPECTOR
u / / alp
ic:::)R1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement �J,
Dept.of Community Development Arrive am/pm Depart d! n/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 frux
.\S-)
NAME Jt PERMIT
LOCATION \ DATE — LitJg
TYPE OF STRUC 7)
N/A YI NO COMMENTS f P
Chimney HeightP'B"Vent/Direct Vent Location
- - 4/
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete \ yInterior/Exterior Railings 30"to 36" \ �
Exterior Handrails,balconies,landing 1 in.or mbre �//
Interior Handrails stairs both sides 3 or i lore riser �
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18' above de /
Gas Furnace shut-off within 30 feet or wi in 1' of site ✓/ J
Oil Furnace shut-off at entance to furnace e
Furnace/Hot Water Heater opbrg
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs �/
Basement stairs,6 ft.4 in. /�/
Handrail exterior stairs both sides more th 3 risers `
Interior privacy/trim/doors/main entrance 3 " I
Floor Finish /
Bathroom/Kitchen watertight J/
Interior Handrails Balconies/Landing 18 '..or more IV/
Railing across window in stairwells /
Smoke Detectors: //
every level t/
every bedroom `,/
outside every bedroom '/
inter connected i,/,%
Bathroom fans L /
Plumbing fixtures /✓
Foundation insulation
3/a hour fire door/door closer /7
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage) /�
Light ventilation per room. �/
Safety glazing 18 lles•fr m floors,p /
Final Electrical .4/ 1 a'a i/
Site Plan/Varian req red /
Final Survey Plot Plan 9/
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) .,
. .
. . . .
. .. .
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TOWN OF QUEENSBURY
`f BUILDING & CODE ENFORCEMENT
� , � 742 BAY ROAD
QUEENSBURY NY 12604
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT — RESID IA ] 7�
DATE INSPECTION� �REEQUESTT RECCEIVED: 5 c,__ e
NAME /(//C/1,1 c /✓ _,L,, _
LOCATION
���/L n-� 9ip r Q'6, 1#, 'J ��] f
DATE c �`v 6- PERMIT # % �'- / 7&
TYPE O STR CTURE5CP
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A . YES NO
CHIMNEY tiEIGHTlB VENT T
PLUMBING VENT I
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILI GS
RELIEF VALVES \\,, 7___
FURNACE/HOT WATER OPERA ING
INTERIOR TRIM/PRIVACY DO RS
• FINISH FLOORS;
BATH/KITCHEN WATERTIGHT •
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
---BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE $'IRE PROOFING
, DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. ��
FINAL SURVEY PLOT PLAN �U�
OK TO ISSUE C/O OR C/C /
GENERAL INSPECTION REPORT
( 518 ) 76178256
Town of Qucensbury ,
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive V__% i 401110 Depart - m
Inspector's Ini ' ",NAME: sM ,0 ' PERMIT## —7 7(,p
LOCATION.L DATE : - _-D �0
TYPE OF STRUCTURE:.'' —Cr .
RECHECK
;� YES COMMENTS
oolings/Piers "lb 1
Monolithic Pour Form.
Reinforcement in Place
The contractor is responsible for .
providing protection from freezing
for 48 hours following the•placcment r' •
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval ,
Plumbing Undcr Slab
Plumbing VenUVents in Place
Rough Plumbing l ``
Heating Rough-In :'/ \
Insulation 1
Foundation Walls Interior R- /�
Foundation Walls Exterior R-
Floors R-
Walls R- iv
Ceiling R- /
Duct work or piping in / `,
unheated spaces R- r' _ _ 'a,
Proper Vent, Attic Vent ___ l >�
Framing_ /
Jack Studs/Headers
Bracing/Bridging I \
Joist Hangers 1`
Jack Posts/Main Beam
Air Infiltration Barrier( ‘..
Fire Separation I, 2, 3, hour ,
Penetration Sealed
\a,
Fire Wall 2.3,4 hour
w
Firestopping _
-,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive m Depart cf :m
Inspector's lint'•
NAME: PERMIT a
LOCATION: DATE : moz)
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I 1
Monolithic Pour Form
Reinforcement in Place
The contractor is re „,$nsible fo
providing protectio from freez'. g
for 48 hours folio' ' i g the pla -ment
of the concrete.
Materials f r this pu s•o s- . site
Foundatiolpu r r
Reinforcement in Place
Foundation/Dampproo`ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte 'or R-
Foundation Walls E or R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Venc Vend,
Framing Jrwi e --
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 7 r/
Queensbury,NY 12804 Arrive am/pm Depart' p
Inspector's Initials
NAME: � �1�. l ��5 C�v O PERMIT# 1
LOCATION: 6 h i- w ,.'t C N DATE : 1 d 7 kb
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place �
The contractor is responsible for
providing protection from freezing
for 48 hours following the place:Went
of the concrete.
Materials for this purpo on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Ro Plumbing
eating Rou -In
Insulation ?--' l i,u> ,
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in 1
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
6
GENERAL INSPECTION REPORTpi
Town of Queensbury-
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road , /
Queensbury,NY 12804 Arrive am/pm Depart m�m
Inspector's Initials (-/
NAME: & LIV f( : PERMIT# 77
LOCATION: f g !l q:?-f- ✓�=.4/ DATE : / Gib
TYPE OF STI1UCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. `
Materials for this purpoCe on site
Foundation/Wallpour
Reinforcement in Pl
Foundation/Damppr fin
Back ill Approval
Plumbing Under Si b /
Plumbing Vent/Ve is/it/Place
Place
Rough Plumbing
pea_tin CL�25 ,•fRouhI7f
�lation
Foundation ails Interior R-
Foundation alls Exterior R-
Floors R-
Walls R- �� J
Ceiling R- 3 0 ✓
Duct work o piping in
unheated ces R-
oper Vent, A is Vent
Framing 4n4 1,1,0(
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
JreWall2. 3l1r /_ ;1? ✓
(Th,_ ')/.)ry\,_ . ._.__ __
-----\ .
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: -
Building& Code Enforcement
742 Bay Road ---
Qucensbury, NY 12804 Arrive am/pm Depart/ • /�,am/pm /
Inspector's Initialsr --( Z.
NAME: \ ' \c K'k Q ) Gif(SAA.V. PERMIT# �(A-7 (p
LOCATION: Vr-,-‘‘.- -',\,c,C:.._\.__WA,-N__ DATE : --TYPE OF STRRE: j A9 `T
' RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl, for
providing protection f om freezing
for 48 hours following he p1S cement
of the concrete.
Materials for this purpose n site
Foundalion/Wallpour I
Reinforcement in Place I
Foundation/Danipproofing /
Backfill Approval /
Plumbing Under Slab/
Plumbing Vent/Vents in P1Icc
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inter or R-
Foundation Walls Est 'or R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
i heated spaces , R-
Pro _'r Vp_jt, Attic Vent , , s l
F amin,t. - s v 6uipaq L A 'U r
Jack Studs/ cactus
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire W 12, 3,4 hournn
Fi oppirig1? X �� � Co'LLP��� v> /' 7,/1/ n
,,,: FIRE MARSHAL
%%1 TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
-, (518) 761-8205
FF
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# / `'77�
NAME \ A . ire C1Zr -I
LOCATION A'`�``< NJ 41A)
SCHEDULE INSPECTION ON J/to
AM M ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGII I - RS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SY EM
HOOD INSTALLATION
INTERIOR FINISHES ____
STORAGE:
CLEARAN' E TO SPRINKLERS
CLEARAIICE TO HEATING UNITS
REQUIRED SIG AGE r
CHIMNEY (1 4-Cr `V eet) r
W00 TOVE
FI PLACE-MASONRY
(REPLACE-FACTORY BUILT i 'A •l00
Vv k1&7V'- R:) /
REMARKS: ?gig Iowa TO THIS DATE
INSPSLIP.PUB INSPECTOR
41.0ffigkirl
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive am/pm Depart "lbam/pm
Inspector's Initials 4
;A� Z PERMIT# 7 7
NAME: V ��!'�,.L VA/7 C'1 e, d�J
6.
LOCATION: / .j.�rzdr .. J DATE : 3 Ca
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi \for
providing protection fro s freezing
for 48 hours following th; placement
of the concrete.
Materials for this -' se o site
Foundation/Wallpoo 1
Reinforcement in P1
Foundation/Dampproofin
Bacic ill Approval
Plumbing Under Slab !
P1 bing Vent/Vents in 'lace °O/
• gli.l lumbing4 ✓✓/
�x .ting,Rough z ✓
Insulation
Foundation Walls I erior R-
Foundation Walls -nor R-
Floors R-
Walls R- Pgd Lf /0`'GN 6 . oZ 6145 R6f'4E,2
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent A ,Ve t�
ra al 1—�
Jack Studs/Headers
Bracing/Bridging
Joist �1' J S I/f — Ai 0 t7 , ii pP "� 9
'
LA-Ai NA
Jack Posts/Main Beam ,A OW— G-1,.0 C 2
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed �
fire Wall 2;3 hour ✓/
�/Firest ClC l� ,ve,e5
,:. .W.w FIRE MARSHAL
/�` TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# 77. %7e47
NAME 11%-k Gfe1Ly6'4-S 6ki)
LOCATION -1"N
SCHEDULE INSPECTION ON (�(� ++o
AM PIM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO PRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD TOVE
FI LACE-MASONRY
'REPLACE-FACTORY BUILT Rai-,. I,A)
REMARKS: ❑ OK TO THIS DATE
Pvut(26- INS -UU , 1,0E-0
/N1' -.' 1�14
NiteL/
INSPSLIP.PUB INSPECTOR
GENERAL INSPECTION REPORT
( 518 ) 761-8256 ,�''�
Town of Qucensbury :3ii 3 C�
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ,
Quecnsbury, NY 12804 Arrive am/pm Departcit: a pm •
Inspector's Initials
NAME: PERMIT# ! /` 7
LOCATION: DATE : J
TYPE OF STRUCTURE. —I
RECHECK
Lt %
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freez ng
for 48 hours following the place ment
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing i
Backfill Approval •
Plumbing Unde Slab—'"
Plumbing Vent/Vents in Place
Rough Plumbing _
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R
Ceiling
Duct work or piping in
unheated spaces '-
Proper Vent, Attic Vent
Framing •
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
r Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
MI
TOWN Ot QUrINSBURY 'j -1
BUILDING & CODE ENFORCEMENT I j
Aka
742 Bay Road
. Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name l C'Vvic0/� ����!O
Location 4af-„ ,PJvt
• Date/ / )j ', )Permit #99 -77 ( .
SOIL TYPE: and-' oam-Clay-
Results of Percolat'on Test-
(if applicable) Rat:4Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total\ Length �•L
Length of each tren h .•,.ti r .
Depth of trenches i
Size of stone Liz vi.5
SEEPAGE PITS: Numuer- i
Size - ft. x ft.
Stone size
PIPING: ? Size Type L
Bldg. to Tank ' .0./2
Tank to Dist. "Box a _ _ !;
Dist. Box to Fi - ., ' t . ii
Openings Sealed? Yes No . ,Partial
LOCATION/SEPARATIINS:
• Foundation to Tan : meet .
Foundation to 'Abs•rpti on ' , .9 feet
Separation of Pi s / .feet
,--.Conforms as per lot Plan Yes ? No
LOCATION OF SYS - ! Cfi--PROPERTY.:.--/'
(circle one) ,/ ,
Front - Rear - eft Side-.R1'ght Side
Middle Front �- fddl ear
COMMENTS: ..
-—---'' ' 64,4:::i-". • ' A 6:' .-/. , 6:0 1(„T
•
SYSTEM.USE APPROVED: ( YES/ NO
Arrived: ._ //
Departed: /
Building Inspector
L(rr . -4e' G q9 -771p
Fi7,-,..c7!\n___T„D
LEA' ar,J .ski -_
.5
`' _ 1999
Cl
y GJ --,
"I have seen or observed,-or believe t-saw evi nce of,
I iects such as houses, wells, trees, fences, etc.,
��. 0��51aS �
I..,:;;.Y;..
on this document. I also represent that I have
L. 1*Z 9' 1. ersun ' y measur;u Jim, . . ►
V 'I Ar/
•
JAN 13 2QQQ� SIGNAT RE DATE
tIN
BUILDING ANDCOD- LJ 5 .
,--1 -:)(- ) 6 \.L."2:1.%Qt-Cr I
I
OWN 00'99 4--�' �/ f i I
14s
co t
N
I N4" I
0 '4 i ice� ‘ - ? a 41:
o — -_ • 4... 41. 11 S .
Y '�
ril
•
i T
i )1.1/
2-Re 1-61-4 c._ J
I L L ' 9I.
{05r5 t.SON 98'Of?
30Og4S 1..50N
• Q
0
t:
, i :30
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart`•Gm/
Inspector's Initials
p .d
NAME: �1 C SKr �I a PERMIT# T1
LOCATION: 1--\ cg (7,-;-_-- { _ DATE : — —A 0
TYPE OF STRUCTURE: �'\C--
RECHECK
N/A YES NO COMMENTS
Footings/Piers i I
Monolithic Pour Form
n------
Reinforcement in Place
The contractor is responsible r
providing protection from free.ing
for 48 hours following the pla mcnt
of the concrete.
Materials for this pu se on site
Foundation/Wallpour
Reinforcement in Place
Founda ion/Dampproofing ./
a billfr pprtoual_. .
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls [nterio R-
Foundation Walls Exteri r R- _
Floors R-
Walls R- _
Ceiling R-
Duct work or piping`n
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
/-cc5OCorl-\
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury ,�'�,n,��1�
Dept. of Community Development Date inspection request received:0��' --Ov�"
Building& Code Enforcement
742 Bay Road I
Queensbury,NY 12804 Arrive am/pm Depart] . m/pm
Inspector's Initia s N..
NAME: /V' -S C PERMIT#
LOCATION: DATE : � , Q11, dL
TYPE OF STRUCT RE: ,/ ,4 L /,0
RECHECK -- C/�
N/A YES 1 COMMENTS
gootings/Piers -I I
`` Monolithic Pour Form
Reinforcement in Place i
t.(
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place w,
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing VenUVents\.n Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- l}}
Ceiling R- 1 _
Duct work or piping in
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Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers •
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Jack Posts/Main Beam
Air Infiltration Barrier •
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Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3,4 hour
Firestopping
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